PAMELA BOUSHIE
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1205693173- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1131 WEST ST STE 2, SOUTHINGTON, CT, 064896006
- Phone
- (860) 517-8888
Specialties & Taxonomies
Dietitian, Registered
Primary License: CT #000743